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Individual

PHILIP RONALD ZITKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
76 W MAIN ST, SHELBY, OH 44875-1206
(419) 347-1445
(419) 347-8403
Mailing address
466 S TRIMBLE RD, MANSFIELD, OH 44906-3416
(419) 756-8000
(419) 756-2601

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4329
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0844626
OH
Enumeration date
08/24/2006
Last updated
08/17/2022
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